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9th INTERNATIONAL PORTAGE ASSOCIATION CONFERENCE

7 - 10 NOVEMBER 2002, PAPHOS, CYPRUS

REGISTRATION & HOTEL RESERVATION FORM

Please print or type in block letters. Tick appropriate boxes and mail or fax to the address at the bottom of the form:

Mr/Mrs/Ms/ First name:.. Last name:

Organisation:..

Mailing Address:..

Zip Code:... City:.................. Country:........

E-mail: Tel.No: ..... Fax No:

 

CONFERENCE REGISTRATION FEES

REGISTRATION FEES INCLUDE

$450 Before end of June 2002

Reception, Meals, Coffee Breaks, Materials, Gala Dinner, Full Day Excursion (Lunch not included)

$500 After June 2002

 

HOTEL RESERVATION

PLEASE MARK HERE BELOW WITH "X" TYPE OF ACCOMMODATION REQUIRED:
 

PRICE

PR

$63.00

 

$71.00

 

$75.00

 
 

PRICE

PR

$78.00

 

$84.00

 

$95.00

 
Twin room Mountain view (2pax)   Single room mountain view
Twin room Sea view (2pax)   Single room Sea view
Twin room Studio (2pax)   Single room Studio

 

 Total Number of nights .......... X $.............      Total $...........

 

 Prices are per person per day and include buffet breakfast, taxes, service charge and current VAT.

METHOD OF PAYMENT

Total Amount Payable (Registration + Accomodation): $............

By Cheque No ..........................................  Bank ............................................

   Made payable to the CYPRUS PORTAGE FOUNDATION

 

By Credit Card: VISA/Mastercard

 

Name of Card Holder:

 

Card Number:

 

Signature of Cardholder:

 

 

Expiry Date:

 

Amount:

 

Date:

 

RETURN TO: 9th IPA Conference Secretariat, Cyprus Portage Foundation, P. O. Box 20590, 1660 Nicosia, Cyprus, Tel. 357-22481666 / Fax. 357-22485331, E-mail:csjfound@spidernet.com.cy

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